An interesting diagnostic exercise

Sittig, Dean F Dean.F.Sittig at UTH.TMC.EDU
Sat Sep 8 16:06:41 UTC 2018


If modern doctors spent 1/4 as much time thinking, researching living conditions, calculating prevalence of common conditions, and looking at their patients as these authors did with Mona Lisa, we could do cut the rate of missed diagnosis in half overnight.

Of course this would require 3-5 times as many doctors as we currently have, which would result in higher costs or force doctors to take a drastic pay cut.

Which implies to me that reducing Dx errors is going big to be difficult to achieve for reasons other than our science.

Alternatively, these authors could be wrong, meaning that all this additional work might lead to more errors.

Dean

Sent from my iPhone

On Sep 8, 2018, at 6:41 AM, David Meyers <dm0015 at COMCAST.NET<mailto:dm0015 at COMCAST.NET>> wrote:


https://www.inverse.com/article/48736-mona-lisa-smile-due-to-hypothyroidism<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.inverse.com_article_48736-2Dmona-2Dlisa-2Dsmile-2Ddue-2Dto-2Dhypothyroidism&d=DwMCaQ&c=6vgNTiRn9_pqCD9hKx9JgXN1VapJQ8JVoF8oWH1AgfQ&r=sPJ6cvqFFdxFqFrb97KoyYk0NuBfdKf4oSNscarc_mU&m=0ffCGGTwTJl4Of760RTgjakuEqy2YAI2Og6qJOMH1DM&s=vAd7yFgOzCjxG7W3qu5Wt_jPAaxH8N5ZfQLHDfTd9ls&e=>

The original article:

https://www.mayoclinicproceedings.org/article/S0025-6196(18)30579-2/fulltext<https://urldefense.proofpoint.com/v2/url?u=https-3A__www.mayoclinicproceedings.org_article_S0025-2D6196-2818-2930579-2D2_fulltext&d=DwMCaQ&c=6vgNTiRn9_pqCD9hKx9JgXN1VapJQ8JVoF8oWH1AgfQ&r=sPJ6cvqFFdxFqFrb97KoyYk0NuBfdKf4oSNscarc_mU&m=0ffCGGTwTJl4Of760RTgjakuEqy2YAI2Og6qJOMH1DM&s=TZSCTvwYCloWG5I5cKUqkwuCRGHL3d1Eolx_ZetV0kY&e=>

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David
David L Meyers, MD  FACEP
410-952-8782

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